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PETERSON FUNCTIONAL MEDICINE
NPI 1689484420
Family Medicine in Venus, PA

Active since January 13, 2025
1860 OLD STATE RD, VENUS, PA 16364(814) 673-3830 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Functional Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERSON FUNCTIONAL MEDICINE (NPI 1689484420) is a healthcare organization registered as a family medicine in Venus, Pennsylvania and active in the NPI registry since January 2025. The organization lists Jennifer Lynn Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1689484420
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePETERSON FUNCTIONAL MEDICINE
Location Address1860 OLD STATE RDVenus, PA 16364-2316
Mailing Address1860 Old State RdVenus, PA 16364-2316 · (814) 673-3830
Phone(814) 673-3830
Organization SubpartNo
Authorized OfficialJennifer Lynn PetersonOwner · (814) 673-3830
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1689484420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1860 OLD STATE RD, Venus, PA 16364
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Other Names 1

Doing Business AsPeterson Functional Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN PETERSON DNP, FNP, CNL
Nurse Practitioner (Family)
1860 OLD STATE RD
VENUS, PA 16364
Venango County (412) 613-8173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peterson Functional Medicine's NPI number?

The NPI number for Peterson Functional Medicine is 1689484420. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Peterson Functional Medicine located?

Peterson Functional Medicine is located at 1860 Old State Rd, Venus, PA 16364. The listed phone number is (814) 673-3830.

What is Peterson Functional Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peterson Functional Medicine was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.